External validation of the Michigan PICC catheter–associated bloodstream infections score (MPC score) for predicting the risk of peripherally inserted central catheter–associated bloodstream infections: A single-center study in Japan

Author(s):  
Hirotaka Sakai ◽  
Mitsunaga Iwata ◽  
Teruhiko Terasawa

Abstract The Michigan peripherally inserted central catheter–associated bloodstream infection score (MPC score) had been developed for hospitalized medical patients but had not been externally validated. A retrospective analysis of a clinically heterogeneous case-mix in a university hospital cohort in Japan failed to validate its originally reported good performance.

2013 ◽  
Vol 7 (4) ◽  
pp. 287
Author(s):  
Federico Silvestri ◽  
Samantha Pasca ◽  
Marco Zaramella ◽  
Antonella Labombarda ◽  
Andrea Barbi ◽  
...  

2016 ◽  
Vol 95 (6) ◽  
pp. 871-879 ◽  
Author(s):  
Christian Kjellander ◽  
Magnus Björkholm ◽  
Owe Källman ◽  
Christian G. Giske ◽  
Caroline E. Weibull ◽  
...  

Author(s):  
Oğuz Abdullah UYAROĞLU ◽  
Nursel Çalik BAŞARAN ◽  
Lale ÖZIŞIK ◽  
Gülçİn Tellİ DİZMAN ◽  
İmdat EROĞLU ◽  
...  

Abstract Background The 30-day readmission rate is an important indicator of patient safety and hospital’s quality performance. In this study, we aimed to find out the 30-day readmission rate of mild and moderate severity coronavirus disease of 2019 (COVID-19) patients discharged from a tertiary care university hospital and to demonstrate the possible factors associated with readmission. Methods This is an observational, single-center study. Epidemiological and clinical data of patients who were hospitalized with a diagnosis of COVID-19 were retrieved from a research database where patient information was recorded prospectively. Readmission data were sought from the hospital information management system and the National Health Information System to detect if the patients were readmitted to any hospital within 30 days of discharge. Adult patients (≥18 years old) hospitalized in COVID-19 wards with a diagnosis of mild or moderate COVID-19 between 20 March 2020 (when the first case was admitted to our hospital) and 26 April 2020 were included. Results From 26 March to 1 May, there were 154 mild or moderate severity (non-critical) COVID-19 patients discharged from COVID-19 wards, of which 11 (7.1%) were readmitted. The median time of readmission was 8.1 days (interquartile range [IQR] = 5.2). Two patients (18.1%) were categorized to have mild disease and the remaining 9 (81.9%) as moderate disease. Two patients who were over 65 years of age and had metastatic cancers and hypertension developed sepsis and died in the hospital during the readmission episode. Malignancy (18.7% vs. 2.1%, P = 0.04) and hypertension (45.5% vs. 14%, P = 0.02) were more common in those who were readmitted. Conclusions This is one of the first studies to report on 30-day readmission rate of COVID-19 in the literature. More comprehensive studies are needed to reveal the causes and predictors of COVID-19 readmissions.


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